Child’s Name: ___________________________________________ Date: ___________________
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Adaptations that will be used throughout the child’s day and available for all routines and activities |
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Adaptation |
Yes |
No |
If yes, briefly describe |
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Augmentative or alternative communication Methods of communication other than speech that allow a child who is unable to use spoken language to communicate with others. |
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Alternative mode for written language Methods of reading or writing used by a child who cannot see well enough to read or write or cannot hold and manipulate a writing utensil (e.g., pencil, pen) well enough to produce written symbols. |
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Visual support Adjustments to the environment that provide additional information to a child who has limited or reduced visual input. |
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Assistive equipment or device Tools that make it possible or easier for a child to perform a task. |
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Functional positioning Strategic positioning and postural support that allow a child to have increased control of his body. |
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Sensory support Increasing or decreasing sensory input to facilitate a child’s attention and interaction in the environment. |
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Alternative response mode Recognition that a child might demonstrate mastery of a skill in a unique way that differs from the child’s typically developing peers. |
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